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Case Reports in Surgery is a peer-reviewed, Open Access journal that publishes case reports related to all aspects of surgery. Topics include but are not limited to oncology, trauma, gastrointestinal, vascular, and transplantation surgery.

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Author Summary Leptospirosis is a tropical bacterial disease that is transmitted to humans from infected animals. Leptospirosis symptoms can range from mild fever to fatal disease forms, such as massive bleeding into the lungs, called Severe Pulmonary Hemorrhage Syndrome (SPHS). It is not known what determines the severity of leptospirosis, but we hypothesized that it may be influenced by differences in the type and concentration of signaling proteins called cytokines that are produced by the immune system in response to infection. We collected blood from patients with mild and severe leptospirosis, and compared the concentration of eight different cytokines circulating in the blood. We found that patients with severe leptospirosis had higher levels of most cytokines. Among patients who had severe forms, higher levels of specific cytokines called IL-6 and IL-8 were predictive of death even after statistical adjustment for age and number of days of symptoms prior to hospitalization. IL-6 was higher in

This information is intended for physicians and related personnel, who understand that medical information is often imperfect, and must be interpreted in the context of a patients clinical data using reasonable medical judgment. This website should not be used as a substitute for the advice of a licensed physician ...

Poor kitty. Somethings obviously wrong with his digestive tract. Because all sorts of problems can cause gastrointestinal misery, your vet might need to conduct quite a few tests before determining ...

Small bowel intussusception due to metastatic intestinal carcinosarcoma from a pulmonary primary Ya-Fen Hsu1,3, Chi-Yu Huang1, Tong-Jong Chen2, Yenn-Hwei Chou11Department of General Surgery, 2Department of Pathology and Laboratory Medicine, Shin Kong Wu Ho-Su Memorial Hospital, 3Graduate Institute of Medical Sciences, Taipei Medical University, Taipei, TaiwanAbstract: Metastatic small bowel tumors are rarely encountered. They usually present with small bowel obstruction, perforation, bleeding, or, rarely, intestinal intussusception. Only a few case reports have mentioned bowel symptoms due to metastatic malignancies. We report a seldom encountered clinical condition of intestinal intussusception from metastatic lung malignancy. Pathology demonstrated both epithelial and mesenchymal content, and the final diagnosis was carcinosarcoma. This case report indicates that intestinal metastases should be considered in the differential diagnosis for patients with lung malignancy and abdominal symptoms.Keywords:

Al-Khyatt, Waleed and Aggarwal, Smeer and Birchall, James and Rowlands, Timothy E. (2013) Acute intestinal obstruction secondary to left paraduodenal hernia: a case report and literature review. World Journal of Emergency Surgery, 8 (5). 5/1-5/5. ISSN 1749-7922 Full text not available from this repository ...

TY - JOUR. T1 - Jejuno-jejunal intussusception. T2 - an unusual complication of feeding jejunostomy. AU - Krishna, Sunil. AU - Prabhu, Raghunath. AU - Thangavelu, Siddharth. AU - Shenoy, Rajgopal. PY - 2013. Y1 - 2013. N2 - The jejuno-jejunal intussusception is a rare complication of jejunostomy tube placement. We are reporting a case of 33-year-old man who was suffering from absolute dysphagia due to carcinoma of cricopharynx with advanced metastatic disease, who underwent Stamms feeding jejunostomy as a part of palliative care. After 1 month he presented with colicky type of pain in the abdomen and vomiting. Sonogram of abdomen revealed a target sign and a feeding tube in a dilated jejunum. Abdominal CT proved the sonographic impression of jejuno-jejunal intussusception. He, therefore, underwent exploratory laparotomy and resection and anastomosis of the intussuscepted bowel. New feeding jejunostomy (FJ) was done distally from the anastomotic site. As per the literature this complication has ...

Hellenic Society of Gastroenterology. Annals of Gastroenterology.Journal part.Scientific article.Article.2007 . Creators: I. Galatianos, I. Aslanidou, C. Mirelis, C. Kontos, T.B. Papaziogas, T.E. Pavlidis, K.S. Atmatzidis,.SUMMARY Intestinal intussusception in adults is usually secondary, rather than primary as in infants. It may lead to obstruction and even strangulation with necrosis. To present our experience on this unusual situation and review the relevant bibliography is the aim of this study. A retrospective survey over the past twelve years found seven patients with acute intestinal intussusception (median age of 56 years, range 28 to 75), among 368 cases of operated intestinal obstruction (1.9%). Clinical examination and plain abdominal radiography made the pre-operative diagnosis of obstructive ileus. The intra-operative diagnosis of intussusception included ileo-cecal (n=4), ileo-iliac (n=2) and jejuno-jejunal (n=1) type. Operation was reduction with removal of the causative factor (n=5) and

PubMed journal article: CT findings in patients with small bowel obstruction due to phytobezoar. Download Prime PubMed App to iPhone, iPad, or Android

There is a thickened loop of jejunum with moderate degree of fat stranding affecting the associated mesentery. Small outpouchings are demonstrated arising from the mesenteric border of the jejunum, compatible with small bowel diverticulosis. Several of these are centred in the region of fat stranding. Two gas locules are on the space from adjacent small bowel. While the larger of these could still represent a diverticulum with intervening wall thickening, the smaller locule is favoured to represent extraluminal gas.. Incidental findings include colonic diverticulosis, cortical scarring in the upper pole of the right kidney, small hiatus hernia and atelectasis at the lung bases. ...

Objective To explore CT diagnostic the worth of intussusception in adults.Methods CT manifest of 15 cases intussusception in adults which were confirmed by pathology and operation were analysled retrospectively.Rusults The cause of 15 cases included colonic carcinomas(n=3);lymphoma(n=2);hemangioma(n=2)polylipoma(n=4);metastatic tumors(n=1); leiomyoma(n=2),colonic polypus(n=1).There were ileocolonic intussusceptions (n=5), small bowel intussusceptions (n=3) and colocolonic intussusception(n=7).Direct signs such as target sign(n=12) and comet tail(n=7) and kidney sign(n=4).Indirect sign of intussusception like increased bowel wall thickness(n=7),dilataltion of proximal intestintal cavity (n=9),intestintal obstruction(n=6) and mesentery infiltration(n=1) were observed.8 primary lesions(8/15)were found on CT.Conclusion CT has important diagnostic worth and it provide main reference in pathogenic diagnosis of intussusception in adult before operation.

An SBE in an elderly male patient with diarrhoea revealed a moderately large diverticulum of the second part of the duodenum and several much smaller jejunal diverticula (arrows). No other small-bowel abnormality was demonstrated. The large ovoid calcified opacity in the right lower quadrant was subsequently shown to be a ureteric calculus ...

CDC Split Type: FRWYEG01473408. Write-up: Information regarding PREVENAR was received from a healthcare professional regarding a 4-month-old female patient who experienced acute intestinal intussusception. The patient received the second dose on 11-Dec-2007. On 09-Jan-2008, the patient was admitted to emergency unit due to pain and blood in stools. On admission the patient was tired and irritable. Physical examination was unremarkable, she had no fever and no sign of dehydration. Acute intestinal intussusception was suspected on ultrasound scan. The patient was hospitalized and intussusception was reduced with water-soluble enema. The patient recovered without sequelae. No additional information was available at the time of this report.. ...

Theres something going on with kids health today. When I was in school (80s), you had one kid who had asthma and that was it. We all had peanut butter sandwiches. When I taught Sunday School two out of the six kids in my kindergarten class had a chronic kidney disease (not related kids) and were to be on medicine the rest of their lives. My daughters best friend stopped breathing and turned blue immediately after her Hep B shot. The doctor said she wasnt to have that one ever again. One of the girls in our troop had angio-edema and carried around an eppy pen. Two of the kids in my homeschool co-op had emergency bowel surgery after the Rotateq shot for bowel intussusception (which is a listed side effect on the insert). Oh, and the FDA acknowledges it ...

INTUSUSCEPCION EN PERROS PDF - 2.a: intususcepción intestinal. 2.b: Masa tumoral extraída de intestino ubicada en ciego. from publication: Intestinal intussusception due to a carcinoma

Overall, enteroclysis is reserved for complicated cases. This imaging modality is roughly as accurate as SBFT and has a shorter examination time; however, the peroral SBFT examination uses less total ... more

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Jejunal diverticulosis complicated by macrocytic anemia and steatorrhea has been rarely reported, and the syndrome has remained relatively unknown to the medical profession. Prompt recognition of the syndrome is important, however, if early treatment and beneficial results are to follow. In a review of the literature on jejunal diverticulosis, 15 cases with the triad,1-12 eight with macrocytic anemia,11-17 and three with steatorrhea5, 18, 19 were found. Seven of these patients had studies of absorption of radioactive vitamin B12,5, 7, 12, 16 although none had investigations of absorption of radioactive fat. Only two patients had partial jejunectomies.9, 12. This paper will ...

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Colonic lipomas are rare mesenchymal tumors that are usually asymptomatic but occasionally can cause acute presentation with GI bleed and intussusception in adults. There overall incidence of this complication is less than 1 %. Most are less than 5 cm and the largest reported in literature is of 10 cm .This case reports a giant colonic lipoma measuring 10x8 cm causing Colo-colonic intussusception. Such large lesions have increased incidence of complications and often are confused with malignancy.

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Peritoneal encapsulation is a very rare condition characterised by what looks to be an accessory peritoneal membrane covering all or part of the small bowels [1]. This is attached to the ascending and descending colon laterally, the transverse colon superiorly and the posterior surface of the parietal peritoneum inferiorly. It is believed to be caused by mal-rotation of the bowel during the 12th week of gestation [1], this causes the formation of an accessory sac from the peritoneum covering the umbilicus. The membrane may cover the entire or part of the small bowel from the duodeno-jejunal junction down to the ileo-colic junction [2].. The two commonest clinical presentations are: acute small bowel obstruction or incidental diagnosis during laparotomy for another condition [4], however, many cases are incidental findings at autopsy. Some patients may have episodes of intermittent colicky abdominal pain or episodes or sub-acute small bowel obstruction, prior to a definitive diagnosis,. Diagnosis ...

Mann N, Gupta A, Olson K. Hepato-biliary abnormalities in adult celiac sprue: Systematic evaluation of 1095 cases with meta-analysis. International Medical J. 2014 Jun; 21(3) 299-303.. Mann N, Gupta A. Exocrine Pancreatic Insufficiency in Adult Celiac Sprue: Systematic Evaluation of 31,434 Cases with Meta-analysis. Poster presented at: American College of Gastroenterology; San Diego, CA. Oct 2013.. Gupta A, Bowlus CL. Primary Sclerosing Cholangitis: Etiopathogenesis and Clinical Management. Frontiers in Bioscience. 2012 Jan 1; 4:1683-705.. Gupta A, Yen DC, Mann SK. Ulcerative Jejunoileitis Diagnosed by Capsule Endoscopy as an Obscure Source of GI Bleeding in Refractory Celiac Disease. Poster presented at: American College of Gastroenterology; San Diego, CA., Oct 2009.. Gupta A, Nastaskin IJ, Bowlus C, Bers, K, Al-Juburi A, Garcia JC. The Addition of Cracker Swallow to Standard Liquid Swallow for Determining Gastroesophageal Reflux Disease Severity in Ineffective Motility Disorder. Poster ...

Background: Intussusception is one of the more common causes of intestinal obstruction in children. The diagnosis may be based mainly on clinical features; however, there are no classic signs and symptoms that are common to all cases. This study reports our experience at US diagnosis and operation fi ndings of children with intussusceptions in a tropical developing economy. Materials and Methods: This was an 8 years retrospective review of intussusceptions in children in a tertiary health facility in a tropical developing country from January 2004 to December 2011.. Results: Twenty five out of 41 children (M:F = 2.2:1) admitted with intussusceptions within the period were studied. The median age was 6.0 ± 5.57 months (range 3 months- 7 years). US positively diagnosed intussusceptions in 20 (80%) cases. Conclusion: US can increase diagnostic confidence in intussusceptions ...

Intussusception occurs when a segment of the bowel (the intussusceptum) telescopes into an adjacent segment (the intussuscipiens). Adult intussusception occurs rarely and often requires surgical resection for its treatment. We describe the case of an adult patient with extremely rare cecorectal intussusception treated using a novel combined transabdominal and trans-anal approach, which has not yet been reported in the literature. A 71-year-old woman was transferred to our hospital for the treatment of upper abdominal pain. Physical examination, laboratory tests, and imaging inspections showed strangulated bowel obstruction induced by intussusception associated with the intra-rectal mass. We performed an emergency operation and treated the intussusception using a combined transabdominal and trans-anal approach. The intraoperative findings revealed bloody ascites and a potentially malignant tumor that had moved toward the anal side from peritoneal reflection. The tumor served as the lead point in the

Description of disease Intussusception - children. Treatment Intussusception - children. Symptoms and causes Intussusception - children Prophylaxis Intussusception - children

Second malignancies have developed in some patients treated with cyclophosphamide used alone or in association with other antineoplastic drugs and/or modalities. Most frequently, they have been urinary bladder, myeloproliferative, or lymphoproliferative malignancies. Second malignancies most frequently were detected in patients treated for primary myeloproliferative or lymphoproliferative malignancies or nonmalignant disease in which immune processes are believed to be involved pathologically. In some cases, the second malignancy developed several years after cyclophosphamide treatment had been discontinued. In a single breast cancer trial utilizing two to four times the standard dose of cyclophosphamide in conjunction with doxorubicin a small number of cases of secondary acute myeloid leukemia occurred within two years of treatment initiation. Urinary bladder malignancies generally have occurred in patients who previously had hemorrhagic cystitis. In patients treated with ...

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Intestinal adhesion after abdominal surgery is a continuous state of fibrosis and inflammation that concomitantly facilitates the progression of a variety of complications, such as chronic abdominopelvic discomfort, pain, and infertility. Berberine has recently become a useful anti-inflammatory drug for cardiovascular, endocrine, and intestinal disorders, because of its antitumor and antilipase effects (Jeong et al., 2009; Jiang et al., 2011; Meng et al., 2012; Yao et al., 2013). Here, we identified berberine as an antiadhesion agent that effectively protects against postabdominal surgery adhesion and inflammation, with several lines of evidence including reduced adhesion scores from direct assessment of adhesions, histopathology measurement of lymphocytes and vascular proliferation, decreased circulating concentration of ICAM-1, downregulated expression levels and secretion of various proinflammatory cytokines in both serum and cecum, and suppression of TAK1, JNK, and NF-κB signaling.. ICAM-1 ...

How effective octreotide can be (for treatment and symptomatic relief) in the case of bowel obstruction due to cancer cells that attach themselves to the outside of the intestines and prevent them from...

Karthikeyan, V. S. et al. Jejuno-jejunal intussusception secondary to small-bowel lipomatosis: A case report. S. Afr. j. surg., May 2012, vol.50, no.2, p.43-44. ISSN 0038- ...

Intussusception causes in infants, in children and in adults. Symptoms, diagnosis, treatment and surgery. Babies and children with intussusception have intense abdominal pain, which often begins suddenly and causes the child to draw the knees up toward the chest.

Neonatal intestinal obstruction is an acute emergency with varied etiologies. Neonatal intussusception is extremely rare. We report the case of a fema..

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Jejunoileal Atresia - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the Merck Manuals - Medical Professional Version.

Care guide for Intussusception Surgical Repair in Children (Precare). Includes: possible causes, signs and symptoms, standard treatment options and means of care and support.

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Eren Berber, MD Cleveland Clinic Objective: Over the last decade, techniques have been developed for laparoscopic liver resection (LLR). Still, one of the drawbacks is the dependency on multiple different devices for various steps of the procedure. Ideal would be to have a device that could be used to divide and provide hemostasis to the… Continue Reading ...

The authors reported a case of small bowel obstruction secondary to internal herniation through a defect of the broad ligament. This is a rare cause of small bowel obstruction. A 42 year-old woman without previous abdominal surgery presented with episodes of abdominal pain, nausea and vomiting. Due to rather unspecific and changing symptoms and the fact that objective findings were normal the patient was discharged and admitted a couple of times before a computed tomography-scan showed small bowel obstruction. Acute diagnostic laparoscopy showed internal herniation of a loop of small bowel trapped in a 2 cm defect in the right side of the broad ligament. The defect was gently expanded bluntly and it was then possible to retract the strangulated part of the small bowel which afterwards was vital. The defect was sutured laparoscopically. The postoperative recovery was uneventful. This case demonstrates that a preoperative diagnosis is difficult and a high index of suspicion is necessary to prevent ...

TY - JOUR. T1 - Laparoscopic repair of a left-sided paraduodenal hernia. AU - Winder, Joshua S.. AU - Pauli, Eric. AU - Haluck, Randy. PY - 2016/8/1. Y1 - 2016/8/1. N2 - Introduction: Internal hernias are a rare cause of bowel obstruction, constituting 0.2-0.9 % of all cases with paraduodenal hernias (PDH) being the most common accounting for 50 % of all internal hernias with 75 % of those being left-sided [1, 2]. They are due to small bowel herniating into a peritoneum-lined sac at the fourth portion of the duodenum as the result of abnormal midgut rotation during embryonic development. Patients may present with symptoms of small bowel obstruction, though the majority are found incidentally [3]. Diagnosis is aided with computed tomography (CT) with findings of encapsulated clustering of small bowel loops in the left upper quadrant, bowel between the stomach and pancreas, crowding of mesenteric vessels, and displacement of the inferior mesenteric vein [4]. Methods: A 34-year-old male presented ...

RPH is a type of internal hernia and is frequently associated with intestinal malrotation. Although RPH is relatively rare compared with left paraduodenal hernia, it causes high mortality as high as 50%. RPH occurs in the fossa of Waldeyer, which is typically located inferior to the third portion of the duodenum and behind the small bowel mesenteric root. During the 6th-10th week of embryonic period, midgut normally rotates 270° counterclockwise manner. Then, the prearterial jejunum lies in the left upper quadrant and the postarterial jejunum is located in the right lower quadrant. The fossa of Waldeyer is thought to result from incomplete rotation of the prearterial jejunum, and subsequent failure of fusion between the mesentery and duodenal third portion [1].. CT is the standard of reference for the diagnosis of internal hernia and its complications. In cases of internal hernia into a fossa in the retroperitoneum, the bowel loop usually appears as a pseudo-encapsulated sac-like structure on ...

Differential diagnosis of multiple lung cysts on HRCT: Lymphangioleiomyomatosis, emphysema (cysts and walls usually less well-defined), chronic interstitial lung diseases (honeycombed cysts usually peripheral), Langerhans cell histiocytosis (nodules ± cavities, presence of thicker-walled cysts, upper lung predominance), bronchiectasis (tree-and-bud pattern often present), sarcoidosis (cysts usually apical), and pneumatoceles (commonly seen with pneumocystis pneumonia) Histologic differential diagnosis: Lymphangioleiomyomatosis; emphysema (if smooth muscle nodules not recognized); smooth muscle proliferations such as benign metastasizing leiomyoma, metastatic stromal sarcoma of the uterus, and metaplastic muscle bundles in fibrosing lung diseases; and alveolar hemorrhage syndromes (if hemosiderin deposits frequent) Diagnosis: Lymphangioleiomyomatosis. Diagnostic features of lymphangioleiomyomatosis on HRCT. ...

Our objective was to identify local animal reservoirs of leptospirosis to explain the unusual features of strains recently described among patients around the island of Mayotte. health impact worldwide particularly in tropical and developing countries.1 The disease can be life-threatening with complications such as Weils disease or severe pulmonary hemorrhage syndrome. Human infection results from exposure to infected urine of carrier mammals either directly or by contaminated soil or water 2 thus animal shedders pose a public health risk. Leptospirosis is endemic in Mayotte. The annual incidence between 1984 and 1989 was 3.83 cases per 100 0 inhabitants but since 2007 diagnostic methods have been improved and annual incidence was reported to be higher than 20 cases per 100 0 inhabitants.3 Pathogenic strains responsible for clinical human cases showed a high genetic diversity. Moreover serogroup Icterohaemorrhagiae has never been reported in humans and a new (probably endemic) strain called ...

Metastatic laryngeal cancer to the small bowel is extremely rare. Management of small bowel obstruction used to constitute a relative contraindication for the use of laparoscopic modality. We are reporting a case of an elderly man known to have laryngeal cancer who presented with small bowel obstruction due to metastatic deposit to the small bowel. The condition was successfully treated by laparoscopic assisted approach. A review of the natural history of advanced laryngeal cancer, common and uncommon sites of metastasis, and the rare presentation as small bowel obstruction is illustrated in this review.

Acute Intussusception, Early Diagnosis vs. Acute Intussusception, Late Diagnosis. Acute Intussusception, Early Diagnosis vs. Acute Intussusception, Late Diagnosis Left picture: The operative findings correspond to an acute intussusception which has been recognized quickly and operated on immediately following an unsuccessful trial of reduction of the intussusception with air. Notice that the cecum and the appendix are not visible, because the invagination of the small intestine in the colon has included partially the cecum and the appendix, too (= so-called ileocecal invagination). Right picture: Here, an acute intussusception is present which has been recognized and operated too late, meaning more than 24 to 36 hours after the beginning of the clinical presentation. Now an obstructive ileus and a peritonitis are present due to an irreversible damage of the invaginated wall of the small intestine. The intussusception has been reduced on admission in spite of the progressed stage of invagination, ...

We present a case of inverted Meckels diverticulum causing small bowel intussusception in an adult patient. We discuss the importance of assessing the source of intussus..

Discussion. Adult intussusception is a rare condition with many surgeons encountering only one or two cases throughout their career. Reported incidence in adults is 2 to 3 cases in a population of 1,000,000 per annum.6 Intussusception occurs when one loop of the bowel (Intussusceptum) telescopes into adjacent segment (Intussuscipiens).7 Intussusception is more common in children when 90% are idiopathic but in adults an underlying pathological lead point is found in 90% of cases. Intussusception in adults is more common in the small bowel. In the colon, it is more frequent on the right side. Coloanal intussusceptions are rare and usually occur in the setting of a benign or malignant tumor.8-10 Presenting symptoms of intussusception in adults are nonspecific. Pain is the commonest symptom, being reported in 71-90% of the patients. The pain may be indolent and frequently intermittent and is related to the size of the tumor.4-7-10 Vomiting and bleeding through the rectum are the next most common ...

BACKGROUND: Predicting the clinical course in adhesional small bowel obstruction is difficult. There are no validated clinical or radiologic features that allow early identification of patients likely to require surgical intervention. METHODS: We conducted a retrospective review of 100 patients consecutively admitted to a tertiary level teaching hospital over a 3-year period (2002-2004) who had acute adhesional small bowel obstruction and underwent computed tomography (CT). The primary outcomes that we assessed were conservative management or the need for surgical intervention. We investigated time to physiologic gastrointestinal function recovery as a secondary outcome. We examined independent predictors of surgical intervention in a bivariate analysis using a stepwise logistic regression analysis. RESULTS: Of the 100 patients investigated, we excluded 12. Of the 88 remaining patients, 58 (66%) were managed conservatively and 30 (34%) underwent surgery. Peritoneal fluid detected on a CT scan (n ...

Small bowel obstruction surgery recovery - I had a small bowel obstruction surgery that was done by a general surgeon. What type of specialist /doctor do I see after for consultation? Surgeon and PCP. It is important for you to follow up with the surgeon who operated on you because he/she will be able to recognize if your bowels have returned to normal function. It will also be important for you to see your primary care doctor who will have the greatest continuity of care with you. In the event of a re-obstruction, be sure to return to the same surgeon. They will know your anatomy details.

Because most pets that develop intussusceptions have had episodes of vomiting and diarrhea, the hydration and electrolyte status should be addressed prior to surgery if possible. This involves some blood chemistry analysis and treatment with an appropriate intravenous fluid. Treatment of animals with intussusception can be complicated and difficult. Many veterinarians prefer to send these patients to an ACVS board-certified veterinary surgeon for ongoing care.. Occasionally intussusceptions can be manually reduced by manipulation of the affected bowel through the abdomen or they reduce themselves spontaneously. In most cases, however, surgery is required to treat this problem. Recurrence of intussusceptions is common, so even if the intussusception can be manually reduced, surgery is often recommended to perform procedures designed to decrease the incidence of recurrence. During surgery the affected area bowel is easily identified (Figure 3). It is occasionally possible for the surgeon to ...

Duodenal atresia is a common cause of intestinal obstruction in neonates. It is associated with other congenital anomalies like Downs syndrome, annular pancreas etc. We present a case of a two days old male baby presented to us with bilious vomiting since birth. It was associated with Downs syndrome, Annular pancreas and Malrotation. Duodenal atresia is associated with other congenital anomalies but more than one congenital anomalies in a single patient is very rare.

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Heterotopic pancreas is an uncommon developmental anomaly of upper gastrointestinal tract. Heterotopic pancreas tissue is very rarely found in ileum. Intussusception in children is usually idiopathic, but definitive aetiology can be established in 90% of adult cases. We are reporting a case of pancreatic heterotopia presenting as a lead point of ileo-ileal intussusception in a 1year 3month year old boy.

The duodenum is the first portion of small intestine after the stomach that has many connections to and shares blood vessels with other organs such as the liver, gallbladder, and pancreas. When part of the bowel fails to develop normally in the fetus, a blockage of the duodenum can occur, otherwise known as an atresia or bowel obstruction. Duodenal atresias can occur as a complete or partial blockage of any portion of the duodenum. Newborns diagnosed with duodenal atresia often present with vomiting.

Objective: To describe the etiological, clinical and therapeutic aspects of adults intussusception at Yalgado Ouedraogo University Hospital in Ouagadougou (CHU-YO), Burkina Faso. Patients and method: This descriptive cross-sectional study was conducted between May 2011 and April 2016 at CHU-YO. All patients with 16 years of age and older operated on for intussusception were included. Results: Thirty patients were identified, 15 men and as many women. Their average age was 37.3 years. A higher frequency was noted between 30 and 39 years. The installation of the symptomatology was insidious in 22 cases and brutal in 8 cases. The reasons for consultation were abdominal pain (30 cases), vomiting (19 cases), intestinal transit stop (18 cases) and rectorrhagia (9 cases). Physical examination noted an abdominal mass in 11 cases and a localized abdominal tenderness in 7 cases. An intussusception coil was identified on ultrasound in 9 cases. All patients underwent surgery under general anesthesia and the

Atresia: A medical term used to describe a condition where an opening or passage in the body is closed or absent. Duodenal atresia means that there is a blockage between one part of the duodenum to another. There are several types of blockages (Figure 1). There can be an internal layer causing the blockage or two discontinuous segments. Because of the blockage, the portion of duodenum before the blockage is enlarged (dilated) while the part after the blockage is normal or smaller than normal ...

Chronic intussusceptions are usually observed in older children. They create a clinical problem due to the occurrance in the course of disease, non-characteristic abdominal pain associated with vomiting and sometimes diarrhea without macroscopic blood in the stool. They are caused in the majority of cases by the presence of a lead point and require surgical treatment. Visualization of the lead point by imaging techniques is difficult and laboratory examinations are usually normal. The authors present a case of chronic ileocecal intussusception in which lead point was an enterogenic cyst of the caecum. A changing clinical manifestation and diagnostic difficulties caused a delay in the decision to operate for 23 days. The definitive diagnosis was determined only intraoperatively, during a reconnaissance laparotomy. Luckily for the patient this delay did not cause complications (necrosis and perforation of the wall of the intestine) and did not influence the final result of the treatment ...

The original abdominal radiograph was read negative. With high suspicion for Intussusception an ultrasound was performed. The Intussusception was within the right lower abdomen, and in retrospect likely represents the soft tissue density on the a...

Three patients who presented with perforated small bowel diverticulosis were healed by resection of the perforated segment and primary anastomosis. Clinical awareness of this disease may reduce the relatively high mortality reported by most authors.

Teaching Files with CT Medical Imaging and case studies on Anatomical Regions including Adrenal, Colon, Cardiac, Stomach, Pediatric, Spleen, Vascular, Kidney, Small Bowel, Liver, Chest | CTisus

Diverticulosis, a condition in which pouches form in the wall of the large intestine, usually does not cause symptoms in the early stages, according to WebMD. If symptoms occur, they are generally a...

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Can anyone help me find some info on any possible correlation between having GERD and developing Diverticulosis? Or vice versa? I have to do a teaching care plan and was thinking about teaching any

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis (costs for program #187291) ✔ University Hospital Marburg UKGM ✔ Department of Cardiac, Thoracic and Vascular Surgery ✔ BookingHealth.com

Surgical treatment of coarctation of the aorta with resection and end-to-end anastomosis (costs for program #249203) ✔ University Hospital Halle (Saale) ✔ Department of Cardiac und Thoracic Surgery ✔ BookingHealth.com

A cuff is used to provide a form for curing fluid about the exterior of an end-to-end anastomosis site. The cuff includes a port through which fluid may be injected to reach an interior space defined between the exterior of tissue at the anastomosis site and the inner surface of the cuff. A circular stapler may be used as a mandrel for the cuff and fluid. Alternatively, inflatable balloons may be used as a mandrel. The curing fluid may comprise a mixture of fibrin and thrombin.

Non-Hodgkin lymphoma (NHL) is a collective term for a heterogeneous group of lymphoproliferative malignancies with differing patterns of behavior and responses to treatment. Most (ie, 80-90%) NHLs are of B-cell origin.

Non-Hodgkin lymphoma (NHL) is a collective term for a heterogeneous group of lymphoproliferative malignancies with differing patterns of behavior and responses to treatment. Most (ie, 80-90%) NHLs are of B-cell origin.

Intussusception is a serious problem in the intestine. It occurs when one part of the intestine slides inside another part. The intestine then folds into itself like a telescope. This creates a blockage or obstruction. It stops food that is being digested from passing through the intestine.

Intussusception is a more common condition than you may think. Almost always found in puppies, the conditions is where the intestine telescopes in on itself, this in turn restricts the blood flow to the intestine and if allowed to continue, the affected tissue will die and ultimately, so will the puppy. This condition can kill a puppy in a matter of days. Although easily treated via an operation, removal of the affected intestine and a short time to heal, the important thing is catching it in first place. ...

CDC Split Type: Write-up: Presented with vomiting. Dx: Intussusception per radiology report. Reduced and sent home. 10/20/09 PCP medical records received service dates 9/28/09 to 10/6/09. Assessment: Suspicious for bowel obstruction. Patient presents with abdominal pain and vomiting. 10/26/09 ED report received service date 10/6/09. Assessment: Vomiting (Possible small bowel obstruction). Patient presents with vomiting that started last night and is still present. Nausea and decreased oral intake. Black stools. Difficulty with urination, decreased activity, lethargic. Poor muscle tone. Sleepier that usual. Nasal discharge. Appears sick. Bilious vomiting. NGT placed. Transfer to higher level facility.. ...

Find local Intussusception resources for the top U.S. cities - includes physician directory, list of local hospitals, and emergency contacts

Is it necessary to hospitalize children who had successful reduction of an intussusception by hydrostatic pressure to monitor for recurrence? Lets review.

Partial bowel obstruction treatment - Bowel obstruction symptoms and treatment, what to do? If truly obstructed. This can be a medical emergency and needs diagnosis immediately and prompt treatment initiation. Go to the ER if you cant be seen today by your doctor.

A bowel obstruction will cause you serious health problems and people with bowel obstruction usually need to be treated in hospital. Find out more here.

Is Intestinal Obstruction a common side effect of Solupred? View Intestinal Obstruction Solupred side effect risks. Female, 81 years of age, was diagnosed with asthma, respiratory distress, hypercholesterolaemia and took Solupred . Patient was hospitalized.

Africa scarification history shows that while scarring may seem like a new and avant garde form of body art, the practice is really quite ancient. Find out ...

Q: I am 74 years old and had cervical cancer surgery and radiation treatments 16 years ago. Since then I have had multiple bouts of bowel obstruction. Is there anything I can do to prevent another one?

This bowel problem is the most common cause of bowel blockages in very young children. With timely treatment, kids recover quickly.

This bowel problem is the most common cause of bowel blockages in very young children. With timely treatment, kids recover quickly.

Pál G, Fong SY, Kossiakoff AA, Sidhu SS. Alternative views of functional protein binding epitopes obtained by combinatorial shotgun scanning mutagenesis. Protein Sci. 2005 Sep; 14(9):2405-13 ...